Gold, golden identity
Shirley J Ortega
2 source records from 1 feed.
MBR-013530Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Shirley
- Middle nameCLM
- J
- Last nameCLM
- Ortega
- Date of birthCLM
- 1987-10-14
- GenderCLM
- F
- Member IDCLM
- UHC-70852-06
- SSN—
- —
- PhoneCLM
- 8597371183
- Email—
- —
- AddressCLM
- 1843 Ocean Ave
- CityCLM
- Los Angeles
- StateCLM
- CA
- ZIPCLM
- 90091
- GroupCLM
- GRP-3357
- PlanCLM
- MEDICARE-ADV-A
Min confidence
1.00
Sources
CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb
Identity graph
Source records linked to this identity and the confidence of each link
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link
Linked source records
Silver values for each record in the cluster, and how it was attached
| Record | Source | Received | Name | DOB | Member ID | Phone | Address | Method | Confidence | Rule |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-428550 | CLM | 2026-02-16 | Shirley Ortegaflagged | 1987-10-14 | UHC-70852-06 | 8597371183 | 1843 Ocean Ave, Los Angeles, CA | Scored | 1.00 | — |
| CLM-428549 | CLM | 2026-04-07 | Shirley Ortegaflagged | 1987-10-14 | — | 8597371183 | 1843 Ocean Ave, Los Angeles, CA | Scored | 1.00 | — |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-428550CLMCLM-428549CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-428549 → UHC-70852-06 (Shirley Ortega)ACT-006589, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically4aa6fc2ffdscoring_agent, CLM-428549, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428550, policy version 1
- 2026-10-22 12:43:54Record linked automaticallyfd2dec574fscoring_agent, CLM-428550, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428549, policy version 1
- 2026-10-19 19:54:38Record linked automaticallya65d69f6f8scoring_agent, CLM-428549, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428550, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyfe75bda327scoring_agent, CLM-428550, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428549, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyb2b3c806bascoring_agent, CLM-428549, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428550, policy version 1
- 2026-10-19 19:52:09Record linked automaticallycdafa33b1escoring_agent, CLM-428550, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428549, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf8f246f76fscoring_agent, CLM-428549, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428550, policy version 1
- 2026-10-19 19:45:42Record linked automaticallya8bb0d88f1scoring_agent, CLM-428550, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428549, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye879d14c50scoring_agent, CLM-428549, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428550, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye1e3e5aaf3scoring_agent, CLM-428550, identity id MBR-013530, confidence 1, method probabilistic, matched record CLM-428549, policy version 1
- 2026-10-19 19:31:28Record linked automatically958b987760matching_agent, CLM-428550, identity id MBR-019094, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428549
- 2026-10-19 19:31:28Record linked automatically3211d3b592matching_agent, CLM-428549, identity id MBR-019094, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428550
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-019777 | 2026-04-03 | Desert Imaging Center in network | 76700, 74177 | $2,166.00 | $0.00 | Approved | Approved |
| CLM-2026-008579 | 2026-02-08 | Lakeside Skin Care Associates in network | 17110 | $236.00 | $106.32 | Approved | Approved |